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SHR Neuro Cancer Cardio Lipid Metab Microb

Struelens, MJ; Monnet, DL; Magiorakos, AP; O'Connor, FS; Giesecke, J.
New Delhi metallo-beta-lactamase 1-producing Enterobacteriaceae: emergence and response in Europe
EUROSURVEILLANCE. 2010; 15(46): 9-16. Doi: 10.2807/ese.15.46.19716-en [OPEN ACCESS]
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Study Group Members Med Uni Graz:
Grisold Andrea
Zarfel Gernot
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Abstract:
Acquired carbapenemases confer extensive antibiotic resistance to Enterobacteriaceae and represent a public health threat. A novel acquired carbapenemase, New Delhi metallo-beta-lactamase 1 (NDM-1), has recently been described in the United Kingdom and Sweden, mostly in patients who had received care on the Indian subcontinent. We conducted a survey among 29 European countries (the European Union Member States, Iceland and Norway) to gather information on the spread of NDM-1-producing Enterobacteriaceae in Europe, on public health responses and on available national guidance on detection, surveillance and control. A total of 77 cases were reported from 13 countries from 2008 to 2010. Klebsiella pneumoniae was the most frequently reported species with 54%. Among 55 cases with recorded travel history, 31 had previously travelled or been admitted to a hospital in India or Pakistan and five had been hospitalised in the Balkan region. Possible nosocomial acquisition accounted for 13 of 77 cases. National guidance on NDM-1 detection was available in 14 countries and on NDM-1 control in 11 countries. In conclusion, NDM-1 is spreading across Europe, where it is frequently linked to a history of healthcare abroad, but also to emerging nosocomial transmission. National guidance in response to the threat of carbapenemase-producing Enterobacteriaceae is available in approximately half of the surveyed European countries. Surveillance of carbapenemase- producing Enterobacteriaceae must be enhanced in Europe and effective control measures identified and implemented.
Find related publications in this database (using NLM MeSH Indexing)
Adolescent -
Adult -
Aged -
Aged, 80 and over -
Carbapenems - pharmacology
Child -
Child, Preschool -
Disease Notification -
Enterobacteriaceae - drug effects
Enterobacteriaceae Infections - diagnosis
Enterobacteriaceae Infections - epidemiology
Guidelines as Topic -
Humans -
Incidence -
Male -
Microbial Sensitivity Tests -
Middle Aged -
Phenotype -
Polymerase Chain Reaction -
Population Surveillance -
Questionnaires -
Risk Assessment -
Young Adult -
beta-Lactamases - metabolism

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